Full mouth rehabilitation is a complex dental treatment the complexity of which relates to mathematical components of occlusion that involves various angulations and inclinations. One of such component is the occlusal plane. Abnormalities in the occlusal plane develop after the loss of teeth in the form of supra eruption, migration, rotation or malposition. Correction of occlusal plane is compulsory in any form of occlusal rehabilitation. A female patient reported with chief complaint of decreased masticatory performance that developed after extraction of posterior teeth. Clinical examinations revealed a case of full mouth rehabilitationthat required a multidisciplinary approach. The complex aspect of the rehabilitation was to correct an existing abnormal occlusal plane, which was successfully achieved using a custom made Broadrick occlusal plane analyzer. The relation of occlusal plane to the amount of tooth preparation has also been discussed.

Rheumatoid arthritis is a disease that can be crippling as well as fatal. The use of disease modifying drugs

Complex occlusal rehabilitation of a mutilated natural dentition in a patient whose temperomandibular joint is compromised by a systemic condition like rheumatoid arthritis and its drug regimen of immunosuppressant medication, would apprehend many practitioners and dental academicians to treat because of unpredictable prognosis. Pre prosthetic mouth preparation in such cases is unavoidable and requires surgical intervention in the form of pulp extirpation, crown lengthening and extraction of natural teeth. A female patient aged 27 years reported with such challenging medical characteristics. Organized surgical intervention and immune enhancing diet procured maximum benefits during the drug stoppage time. Foundation restorations included multiple cast dowel cores without having any guidance from adjacent teeth regarding their inclination and height. A new method of determining cast dowel height and inclination has been described. Porcelain fused to metal crowns and fixed partial denture completed rehabilitation with a mutually protected occlusion. The patient was highly satisfied with her redeemed appearance.

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Background: Distal caries are commonly seen in the second mandibular molar in the incidence of impacted mandibular third molars. This might result in the need for root canal treatment or even extraction of the second molar along with third molar. The present study was done to study the prevalence of distal caries of second mandibular molars due to impacted mandibular third molar. Methods: The study included 107 patients presented to the clinics of college of dentistry, Jazan University, Saudi Arabia with various complaints. The cases observation started on the 1st of January 2017 and ended on the 15th of February 2017. The presence of distal caries on the second molars was recorded along with various angulations of the impacted wisdom tooth. All the data were collected and analyzed using percentage analysis. Results: Panoramic radiographs of 107 patients were studied. The patients were in the age range of 19 to 45 years. Out of 107 patients, 40 were males and 67 were females. Twenty-four patients (24.36%), out of 107 patients were found to have distal caries on the adjacent second mandibular molar. Conclusion: As the incidence of distal caries on the second mandibular molar was found to be high, it is recommended that careful monitoring and frequent radiographical examinations were necessary to detect the early caries.